發(fā)布時間：2018-05-02 19:35

  本文選題：智力殘疾人群 + 口腔健康狀況��； 參考：《昆明醫(yī)科大學(xué)》2017年碩士論文

【摘要】：[目的](1) 了解云南省12-18歲智力殘疾人群口腔健康狀況。(2)對云南省12-18歲智力殘疾人群齲病患病狀況的相關(guān)因素進行分析,并針對其齲病患病狀況,提出預(yù)防策略和措施。(3)為殘疾人群口腔健康狀況研究提供流行病學(xué)依據(jù)。(4)為殘疾人保障部門、特殊學(xué)校制定特殊人群口腔保健規(guī)劃提供理論依據(jù)。[方法]根據(jù)WHO制定的《口腔流行病學(xué)調(diào)查基本方法》,參照第三次全國口腔健康流行病學(xué)調(diào)查方案,采用隨機、分層、整群的多階段抽樣的方法。從云南省南北地區(qū)隨機抽取各兩個個城市,再從每個城市中隨機整群抽取,共對5所特殊學(xué)校的438名12-18歲智力殘疾人群(男性256女性182名,城市145農(nóng)村293),進行口腔檢查,對家長口腔健康問卷調(diào)查,包括兒童飲食習慣、兒童口腔衛(wèi)生習慣、家長社會經(jīng)濟會信息等內(nèi)容。數(shù)據(jù)采用EpiData3.1建立數(shù)據(jù)庫,SPSS 20.0軟件采用t檢驗、卡方檢驗對數(shù)據(jù)進行統(tǒng)計學(xué)分析,內(nèi)容包括:患齲率、齲均、齲面均、充填率、牙齦出血檢出率、牙石檢出率、齲病相關(guān)單因素等;將單因素分析中有統(tǒng)計學(xué)意義的因素作為自變量,將是否患齲作為因變量,多因素Logistic線性回歸分析影響齲病的危險因素。[結(jié)果]調(diào)查中438名12-18歲智力殘疾人群恒牙患齲率、齲均、齲面均分別為31.74%, 0.49±0.93, 0.69±1.43,齲齒充填率為11.19%,齲面充填構(gòu)成比6.58%�；箭x率、齲均、齲面均男女比較:患齲率和齲面均與人群性別具有相關(guān)性,差異具有統(tǒng)計學(xué)意義;齲均差異無統(tǒng)計學(xué)意義。城鄉(xiāng)比較:患齲率、齲均和齲面均無統(tǒng)計學(xué)意義。調(diào)查中12歲組兒童的患齲率為24.4%,低于第三次全國口腔健康流行病學(xué)調(diào)查12歲組兒童28.9%的結(jié)果,高于云南省12歲組兒童患齲率20.6%的結(jié)果,且與云南省12歲組兒童患齲率間差異具有統(tǒng)計學(xué)意義。牙齦出血檢出率和平均檢出牙數(shù)分別為69.86%、1.92±1.01;牙石檢出率和平均檢出牙數(shù)分別81.96%、2.82±1.83。男女比較和城鄉(xiāng)比較:齲均、牙齦出血檢出率、牙石檢出率均無統(tǒng)計學(xué)意義。齲病單因素影響分析結(jié)果顯示:性別、所在學(xué)校、涂氟經(jīng)歷、晚上刷牙后是否吃甜食、甜點心、每日的進食次數(shù)、刷牙次數(shù)、刷牙由誰完成、使用的牙膏是否含氟、牙痛經(jīng)歷、家長是否檢查刷牙效果、家長的齲病知識、母親的學(xué)歷和家庭月收入共13個單因素與云南省部分12-18歲智力殘疾人群的患齲率具有相關(guān)性。多因素Logistic線性回歸分析結(jié)果顯示:人群所在學(xué)校、晚上刷牙后是否吃甜食、甜點心每天進食次數(shù)以及家長對齲病知識的了解和母親的學(xué)歷共5項是云南省12-18歲智力殘疾人群齲病的主要影響因素。[結(jié)論](1)云南省12-18歲智力殘疾人群,患齲率雖然處于較低水平,但齲病充填率極低,牙周狀況差。因此,該群體口腔疾病防治工作刻不容緩。(2)云南省部分智力殘疾人群的口腔健康需求較大,口腔衛(wèi)生服務(wù)利用率低;由于調(diào)查人群的特殊性和家長口腔健康知識和意識的缺乏,共同制約了針對該群體口腔健康服務(wù)的實施。(3)多因素Logistic線性回歸分析結(jié)果表明:不同性別、不同地區(qū)、調(diào)查人群得飲食習慣以及家長的口腔健康知識和母親的學(xué)歷是智力殘疾人群齲病的影響因素。建議當?shù)卣拖嚓P(guān)特殊學(xué)校給予政策和資金上的支持;加智力殘疾人群和家長口腔健康教育,利于培養(yǎng)其良好的飲食和口腔衛(wèi)生習慣;為該群體提供涂氟、窩溝封閉等齲病預(yù)防措施,從而改善和提高其口腔健康生活質(zhì)量,達到口腔健康促進的目的。
[Abstract]:[Objective] (1) to understand the oral health status of the 12-18 year old people with mental disability in Yunnan province. (2) to analyze the related factors of the prevalence of dental caries in the 12-18 year old people with mental disability in Yunnan Province, and to put forward the prevention strategies and measures in view of the status of caries. (3) to provide the epidemiological basis for the study of the oral cavity health status of the disabled. (4) the disability is the disability. The human security department, the special school provides the theoretical basis for the planning of oral health care for special people. [method] according to the basic methods of oral epidemiology investigation made by WHO, according to the third national oral health epidemiological survey, random, stratified and cluster multistage sampling methods are adopted. The random sampling methods are taken from the north and South regions of Yunnan province. Two cities were randomly selected from each city. A total of 438 12-18 - year - old intellectual disabilities (182 men, 256 women, 145 rural 293) in 5 special schools were tested for oral health questionnaire, including children's diet habits, children's oral hygiene habits, and parents' social and economic information. According to the use of EpiData3.1 to establish a database, SPSS 20 software uses t test and chi square test makes statistical analysis of the data. The contents include: caries rate, caries, caries, filling rate, detection rate of gingival bleeding, dental stone detection rate, caries related single factor, and so on. As a dependent variable, multiple factor Logistic linear regression analysis affected the risk factors of caries. [results] the dental caries rate, caries and caries of 438 12-18 year old people with mental disability were 31.74%, 0.49 + 0.93, 0.69 + 1.43, and 11.19%. Caries filling was compared with 6.58%., caries and caries were compared: caries and caries The rate and caries were correlated with the sex of the population, and the difference was statistically significant. The difference in caries was not statistically significant. The rate of caries, caries and caries were not statistically significant in urban and rural areas. The rate of caries was 24.4% in the 12 year old group, which was lower than the result of 28.9% of the 12 year old children in the third national oral health flow disease study. The rate of dental caries of 12 year old children in southern province was 20.6%, and the difference of caries rate between the 12 year old group in Yunnan province was statistically significant. The detection rate of gingival bleeding and the average tooth number were 1.92 + 1.01, the detection rate of dental calculus and the average number of teeth detected were 81.96%, 2.82 + 1.83. male and female comparison and urban and rural comparison: caries and gingival bleeding detection rate, The effect of single factor on dental caries was not statistically significant. The results of the single factor analysis showed that sex, the school, the experience of the fluorine smear, the sweet dessert, the times of daily eating, the times of tooth brushing, the number of teeth brushing, the number of teeth brushing, the fluoride in the toothpaste, the experience of toothache, whether the parents examined the effect of brushing, parents' knowledge of caries, 13 single factors of mother's education and family monthly income are related to the rate of dental caries of 12-18 years of mental retardation in Yunnan province. Multiple factor Logistic linear regression analysis shows whether the school is in the crowd, whether there is dessert after brushing at night, the daily eating times of sweet dessert and the understanding of parents' knowledge of caries and the study of mother's study. 5 items are the main factors affecting the dental caries of 12-18 years old people in Yunnan province. [Conclusion] (1) the 12-18 year old people with mental disability in Yunnan Province, the rate of dental caries is very low, but the dental caries filling rate is very low and the periodontal condition is poor. Therefore, the prevention and treatment of oral diseases in this group is not slow. (2) oral health of some mentally handicapped people in Yunnan province. There was a large demand for health and low utilization of oral health services. Due to the particularity of the population and the lack of knowledge and awareness of the oral health of the parents, the implementation of oral health services for this group was restricted. (3) the results of multi factor Logistic linear regression analysis showed that different sex, different regions, the investigation population got eating habits and parents. Oral health knowledge and mother's educational background are the factors affecting dental caries in people with intellectual disabilities. It is recommended that local governments and relevant special schools give policy and financial support, plus intellectual disabilities and parents' oral health education, to develop good diet and oral hygiene habits, and to provide the population with fluorine, pit and fissure sealing and other caries. Preventive measures should be taken to improve and improve the oral health quality of life and achieve the goal of oral health promotion.

【學(xué)位授予單位】：昆明醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R781.1

【參考文獻】

相關(guān)期刊論文 前10條

1 于雪;王琳;李潔;董青;;唐山市7～9歲兒童第一恒磨牙患齲狀況及相關(guān)性研究[J];華西口腔醫(yī)學(xué)雜志;2015年01期

2 孫紅;陳文靜;陳雪峰;;蕪湖市兩所特殊學(xué)校學(xué)生口腔健康狀況調(diào)查[J];口腔醫(yī)學(xué);2014年11期

3 劉怡杰;王穎;吳孝楠;王萌;趙秀蘭;榮文笙;;大連開發(fā)區(qū)兒童第一恒磨牙窩溝形態(tài)及齲病患病狀況調(diào)查[J];華西口腔醫(yī)學(xué)雜志;2013年06期

4 李莉;王憲靈;;中國殘疾兒童狀況研究[J];河北醫(yī)藥;2013年20期

5 崔添強;李媛媛;段松偉;邱榮敏;林煥彩;;廣東省視力殘疾學(xué)生口腔健康狀況及行為調(diào)查[J];廣東牙病防治;2013年05期

6 蔣賢軍;胡德渝;肖強;涂蕊;董瀅;;成都市部分6～12歲孤殘兒童患齲狀況及防治探討[J];國際口腔醫(yī)學(xué)雜志;2013年02期

7 李毓秋;張厚粲;朱建軍;;韋氏兒童智力量表第4版(中文版)六分測驗簡版及其在智力殘疾評定中的作用[J];中國康復(fù)理論與實踐;2011年12期

8 邱卓英;;國際社會有關(guān)殘疾發(fā)展的重要文件——世界衛(wèi)生組織、世界銀行共同發(fā)布首份《世界殘疾報告》[J];中國康復(fù)理論與實踐;2011年06期

9 王冬梅;吳堅;梁煥友;王萍;;廣州市12～13歲兒童牙齦炎影響因素的Logistic回歸分析[J];牙體牙髓牙周病學(xué)雜志;2011年06期

10 馬鍇;朱莉;戚燕婷;胡穎青;;溫州市智障青少年的口腔衛(wèi)生狀況調(diào)查分析[J];溫州醫(yī)學(xué)院學(xué)報;2011年03期

相關(guān)碩士學(xué)位論文 前1條

1 康棟;成都市智障兒童口腔健康狀況、口腔保健行為調(diào)查分析[D];四川大學(xué);2007年

，

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